| Paul L. Kurtzweil, Ph.d. Llc | |
| 
					9415 E Harry St Ste 204 Wichita KS 67207-5076  | |
| (316) 200-5391 | |
| (316) 618-9291 | 
| Full Name | Paul L. Kurtzweil, Ph.d. Llc | 
|---|---|
| Speciality | Psychologist | 
| Location | 9415 E Harry St Ste 204, Wichita, Kansas | 
| Authorized Official Name and Position | Paul Lovejoy Kurtzweil (PSYCHOLOGIST) | 
| Authorized Official Contact | 3162005391 | 
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Paul L. Kurtzweil, Ph.d. Llc 9415 E Harry St Ste 204 Wichita KS 67207-5076 Ph: (316) 200-5391  | Paul L. Kurtzweil, Ph.d. Llc 9415 E Harry St Ste 204 Wichita KS 67207-5076 Ph: (316) 200-5391  | 
| NPI Number | 1770802241 | 
|---|---|
| Provider Enumeration Date | 05/24/2010 | 
| Last Update Date | 08/17/2021 | 
| Certification Date | 08/17/2021 | 
| Medicare PECOS PAC ID | 0042334401 | 
|---|---|
| Medicare Enrollment ID | O20100908000155 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1770802241 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | LP-0935 (Kansas) | Primary | 
| Provider Name | Paul L Kurtzweil | 
|---|---|
| Provider Type | Practitioner - Clinical Psychologist | 
| Provider Identifiers | NPI Number: 1225011380 PECOS PAC ID: 5698805174 Enrollment ID: I20100609000779  | 
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